Symptoms of Stress and Depression as Correlates of Sleep in Primary Insomnia

Hall, Martica; Buysse, Daniel J.; Nowell, Peter D.; Nofzinger, Eric A.; Houck, Patricia; Reynolds, Charles F.; Kupfer, David J.

doi:10.1097/00006842-200003000-00014

Cited by 250 publications

(175 citation statements)

References 19 publications

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Section: Discussionmentioning

confidence: 99%

“…Hall et al (1998) also reported that greater frequency of intrusion and avoidance was significantly correlated with longer SL and greater awake time during the first NREM period. In quantitative EEG analysis, stress-related intrusive thoughts were associated with higher beta power, and increased subjective stress burden was associated with decreased delta power (Hall et al, 2000).…”

Section: Daily Life Stress and Stressful Life Eventsmentioning

confidence: 94%

“…Thus, further studies need to be performed that explicitly examine exposure to life events with and without depression comorbidity. The measurement of stressful life event-related intrusive thought and avoidance behavior in several studies (Hall et al, 1998;Hall et al, 1998;Hall et al, 2000) suggests a promising model for examining how the response to a stressor is related to effects on SL and delta sleep.There were a large number of studies that examined exposure to diverse experimental stressors. Having an indwelling intravenous catheter or being in the sleep laboratory itself resulted in consistent polysomnographical findings: delayed SL, lower SE, frequent awakenings, decreased REM sleep, and less SWS.…”

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confidence: 99%

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The Effect of Psychosocial Stress on Sleep: A Review of Polysomnographic Evidence

Kim

Dimsdale

2007

Behavioral Sleep Medicine

330

237

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This systematic review examines the effect of diverse psychosocial stressors on polysomnographic measures of sleep. Sixty-three articles were located and categorized in terms of the types of stressors imposed. Experimental stress resulted in fairly consistent changes: decreases in slow wave sleep, REM sleep, and sleep efficiency (SE), as well as increases in awakenings. Data were limited in terms of response to non-experimental stressors, except for the case of post-traumatic stress disorder (PTSD) on sleep, where a number of reports suggest that PTSD patients have increased awakenings and decreased SE. Future research needs to define stress more precisely in terms of duration and severity and to measure its impacts on sleep in populations that differ in terms of age, comorbid illness, gender, and so forth. Without such fine-grained analyses, it is difficult to draw definitive conclusions about this important area.Sleep researchers traditionally have focused on primary sleep disorders such as sleep apnea, narcolepsy, or periodic limb movement disorder; but common knowledge has it that the stresses of daily life can perturb even healthy sleep. As Mason (1968) described, psychological stressors are potent stimuli for physiological stress responses. Most studies on psychosocial stress and its physiological effects on sleep are based solely on subjective reports. However, these subjective reports of sleep are not sufficient to evaluate physiological sleep changes as measured by polysomnography (PSG; Akerstedt, Hume, Minors, & Waterhouse, 1994;Schneider-Helmert & Kumar, 1995). What really happens in sleep physiology after exposure to stressors? Although the gold standard of measurement of sleep is PSG, there are relatively little data concerning the effects of ordinary or severe stress on polysomnographically examined sleep. This article systematically reviews the diverse literature in this area.Stress is notorious for being difficult to define. It encompasses all kinds of stimuli of varying amounts of aversiveness and duration (Dimsdale, Irwin, Keefe, & Stein, 2005). Kecklund and Akerstedt (2004b) grouped stressors conceptionally into physical versus psychological or social, acute versus chronic, and high intensity versus low intensity.Copyright © Lawrence Erlbaum Associates, Inc. Correspondence should be addressed to Joel E. Dimsdale, University of California, San Diego, 9500 Gilman D., La Jolla, CA 92093-0804. jdimsdale@ucsd.edu. NIH Public Access Author ManuscriptBehav Sleep Med. Author manuscript; available in PMC 2014 December 15. NIH-PA Author ManuscriptNIH-PA Author Manuscript NIH-PA Author ManuscriptAlthough there are numerous animal models of social stress, it is still challenging to generalize psychosocial stress responses in animals to those in humans. This review focuses on psychosocial stressors; other types of stressors such as environmental manipulations (e.g., temperature), exercise, or intentionally imposed sleep disruption are not covered in this article.It is possible that different types...

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Section: Discussionmentioning

confidence: 99%

Section: Daily Life Stress and Stressful Life Eventsmentioning

confidence: 94%

mentioning

confidence: 99%

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The Effect of Psychosocial Stress on Sleep: A Review of Polysomnographic Evidence

Kim

Dimsdale

2007

Behavioral Sleep Medicine

330

237

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“…Responses of "never" were considered to indicate unrefreshing sleep and responses of "most of the time" and "sometimes" were grouped to indicate the absence of this sleep problem. (33,37), lifestyle factors (25,38), other chronic conditions (8,9), and mental health (39,40) have all been linked to sleep disorders, and as such, an a priori decision was made to include these factors in multivariate analyses. Lifestyle factors.…”

Section: Methodsmentioning

confidence: 99%

Pain as a mediator of sleep problems in arthritis and other chronic conditions

Power¹,

Perruccio²,

Badley³

2005

Arthritis & Rheumatism

115

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“…pain [23,[34][35][36][37], vasomotor symptoms [38][39][40][41][42][43]), and poor psychosocial functioning (e.g. poor social functioning [44,45], life stress [15,[46][47][48][49], depression/depressive symptoms [19,23,50], and personality traits such as anger/hostility [51]). …”

Section: Introductionmentioning

confidence: 99%